Infection Prevention & Control Post Test – LTC Hand
Hygiene, MDROs & CLABSI|Verified Questions with A+
Graded Rationales Latest Updated 2026
A nurse assistant is about to perform perineal care on an incontinent resident who wears briefs.
His supplies have already been gathered and placed on the clean bedside table. He enters the
room, dons non-sterile gloves, removes and discards the resident's soiled brief and cleans the
resident's perineum. He removes his soiled gloves and dons a new pair of non-sterile gloves. He
applies a clean brief. He discards his gloves and exists the room. How many times should he
have performed hand hygiene in this scenario? Please select the best answer.
3x
A resident is diagnosed with latent TB infection (LTBI). Is there risk that the resident will
transmit TB to others in the facility? Please select the best answer.
No, there is no risk of transmission at this time
After you have scored the infection prevention and control (IPC) risk assessment, which of the
following actions would you take first to address the findings? Please select the best answer.
Identify high-scoring items for IPC program prioritization
As a result of lessons learned from outbreaks of multidrug-resistant organisms (MDROs) in
nursing homes, which of the following situations should warrant use of Contact Precautions and
consideration of a single-person room for MDRO-colonized residents? Please select all that
apply.
A. Residents with difficulty containing secretions from sites of MDRO colonization and potential
for extensive environmental contamination
B. New residents on the unit are found to be colonized with the MDRO (evidence of ongoing
transmission) despite efforts to control spread
At what stage of an investigation would you notify local or state public health officials that you
have an outbreak? Please select the best answer
Once an outbreak has been determined to exist
Before performing wound care, if the hands are not visibly soiled, which method of hand
hygiene by staff members is preferred? Please select the best answer.
Using an alcohol-based hand rub
, During January, there were five residents with central venous catheters (CVCs) for a total of 100
catheter-days. There were 4,000 resident-days for the month. There were two central line-
associated blood stream infections (CLABSIs) identified. What is the CLABSI rate for the month?
Please select the best answer.
20 CLABSI per 1,000 catheter-days
During the previous influenza vaccine season, 120 residents received the influenza vaccine. 80
residents declined the vaccine. Which of the following is the correct resident influenza
vaccination acceptance rate? Please select the best answer.
60%
During which of the following situations should a gown be considered in addition to gloves
during care of a resident with an indwelling urinary catheter? Please select the best answer.
all the above
For residents admitted to a nursing home on a course of antibiotics started in a hospital, which
pieces of information would be important to know? Please select the best answer.
all above
For which of the following organisms and syndromes should you apply Contact Precautions?
Please select all that apply.
Scabies, & c-diff
In residents with central venous catheters (CVCs), which of the following factors increase the
likelihood of developing a bloodstream infection? Please select the best answer.
higher # of lumens
Missing or inadequate information exchanged during care transitions can result in which of the
following. Please select all that apply.
A)Unrecognized spread of resistant bacteria at accepting facility
C)Increased risk of antibiotic-related adverse events
Removing a central venous catheter (CVC) that is no longer indicated most directly disrupts
which part of the chain of infection? Please select the best answer.
portal of entry
Hygiene, MDROs & CLABSI|Verified Questions with A+
Graded Rationales Latest Updated 2026
A nurse assistant is about to perform perineal care on an incontinent resident who wears briefs.
His supplies have already been gathered and placed on the clean bedside table. He enters the
room, dons non-sterile gloves, removes and discards the resident's soiled brief and cleans the
resident's perineum. He removes his soiled gloves and dons a new pair of non-sterile gloves. He
applies a clean brief. He discards his gloves and exists the room. How many times should he
have performed hand hygiene in this scenario? Please select the best answer.
3x
A resident is diagnosed with latent TB infection (LTBI). Is there risk that the resident will
transmit TB to others in the facility? Please select the best answer.
No, there is no risk of transmission at this time
After you have scored the infection prevention and control (IPC) risk assessment, which of the
following actions would you take first to address the findings? Please select the best answer.
Identify high-scoring items for IPC program prioritization
As a result of lessons learned from outbreaks of multidrug-resistant organisms (MDROs) in
nursing homes, which of the following situations should warrant use of Contact Precautions and
consideration of a single-person room for MDRO-colonized residents? Please select all that
apply.
A. Residents with difficulty containing secretions from sites of MDRO colonization and potential
for extensive environmental contamination
B. New residents on the unit are found to be colonized with the MDRO (evidence of ongoing
transmission) despite efforts to control spread
At what stage of an investigation would you notify local or state public health officials that you
have an outbreak? Please select the best answer
Once an outbreak has been determined to exist
Before performing wound care, if the hands are not visibly soiled, which method of hand
hygiene by staff members is preferred? Please select the best answer.
Using an alcohol-based hand rub
, During January, there were five residents with central venous catheters (CVCs) for a total of 100
catheter-days. There were 4,000 resident-days for the month. There were two central line-
associated blood stream infections (CLABSIs) identified. What is the CLABSI rate for the month?
Please select the best answer.
20 CLABSI per 1,000 catheter-days
During the previous influenza vaccine season, 120 residents received the influenza vaccine. 80
residents declined the vaccine. Which of the following is the correct resident influenza
vaccination acceptance rate? Please select the best answer.
60%
During which of the following situations should a gown be considered in addition to gloves
during care of a resident with an indwelling urinary catheter? Please select the best answer.
all the above
For residents admitted to a nursing home on a course of antibiotics started in a hospital, which
pieces of information would be important to know? Please select the best answer.
all above
For which of the following organisms and syndromes should you apply Contact Precautions?
Please select all that apply.
Scabies, & c-diff
In residents with central venous catheters (CVCs), which of the following factors increase the
likelihood of developing a bloodstream infection? Please select the best answer.
higher # of lumens
Missing or inadequate information exchanged during care transitions can result in which of the
following. Please select all that apply.
A)Unrecognized spread of resistant bacteria at accepting facility
C)Increased risk of antibiotic-related adverse events
Removing a central venous catheter (CVC) that is no longer indicated most directly disrupts
which part of the chain of infection? Please select the best answer.
portal of entry
